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1/5/2009 2:08:54 PM
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11/18/2007 12:23:25 PM
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1~ 1 I1~ ~ <br />REPORT <br />[nTG-rl`1" dp1 repot elnim heloncin¢ [o Compnnr or croup. <br />' Glvr name at east <br />FII in urdu119~h'ME\ Eh1Y1.0YED. <br />Fl11 out Flank o0 oppoAtc °ide and °icn report. <br />BT7HEAII OF DIINES, STATE OF COLORADO• <br />T. P.. Ilen¢hen, Com:nlsslO°er °f DflnesrDencer, Colorado. <br />a° <br />U' <br />~V <br />?I~IB~ I2 <br />306 <br />191--- <br />h cecye~~i~'Lli~,bi~lbr~~~'i~'foUow$S: Survey ~-~.47.3_-- <br />Sir: In accordance with eie0~81' A Y S+OL~~.i.IllIl~ ~lSi9----- ii ----'i 7I4. <br />]?~D~--r- ; 2 u n 9 <br />~' I`nme of eLaim or nl¢ims__----T~o-ViCtOT i{ ----'"----- k 1~---- <br />-u------ <br />'i1f8-ti`it°,tDY'-z n v #~~~29--- <br />------------°-------------- `fie-Ths~' aE_--------- n - 83Fi9 <br />__ „ -----"-----~-fi5i-8-~ - <br />The liorth Star ~,.___ <br />--------------------------- <br />_____~rz-t-nffitSix-mu~n'`h" ------------ <br />---------- <br />----------- Tt<11g?''-------------------------- <br />Loeation ---------------------°----------- - County ---°-- <br />Dlining Distract _ ~r1PT~~ - Smith Koy~Bt ;.inea Co----- <br />--- <br />pwner or owners and addr~irr----------"-°-- <br />o D E ,~of~at Ena_rb©n c?ith,_Donyer_Co_o:----°---------------- <br />Smith -D:of3at ~ineo Co <br />-.G&_~£~ti~s ~ (It I¢cor rated) <br />- -'-°--------------------------------- ----Per sharp. <br />-------'-° - 1~~ --------- <br />Name of Company___-~---- __ shares, st 4- <br />(Y. O. Address) -___ <br />Capital Stock_].SI1199S2..Q0-----------'"President, F'3,rut_IIf..t9u+(Y.r~•ozL7Sr•---------------- <br />_-__Secretary,- ___ <br />----- - <br />~.JIY~~- Cgs?--° ;;--°------°----- <br />---- <br />~_a v201c----°_Dfano6eh ------ <br />_~hili^--E.z~ <br />_ Superintendent ----------"""----~~-------------- <br />- ------ - <br />-_- -(p, O. Address) <br />- ---------";71111Er " ?rice o>~ Colorcdo Springo _ ------- --- °----- ---- <br />Legend to ----------br."'Iii;iSe`fc -------- <br />_--_Yicta= ------- - --°- <br />--------------- <br />y1' charge oY---'----- --------------- <br />-------'--- -- <br />wurked contiuuuurlyi-~r~---'-----"- - - ---'---'-- <br />Ir property I i15I --°---°---°- <br />--'----------' ]01--- <br />wor' •'---"---- <br />---- <br />Cmnuleu~nd ----°---°--- <br />Stoppud work -------°---- Dl1:N I:DiPI,OYF;f). <br />No, l:urployed• ~j(nr--S.Iwur rhift. <br />1'aKineerr, - - - b1°' <br />~o. Eluploynd. ~ytur-t}_hourrhift. -d---' for..--hourrhift. <br />1'wupruen, - - - - b-°--- <br />__--_Dfnchine Drilhaen, ~.'~ for.__-hourrhift. .____ for__-.hour rhi[t. <br />fete, b---_-' Finuncn, - - - - b-_-°- <br />---Diachinc Ilel) , „ or-ter-hourrhift. ----- <br />- ~'~°`i'S --_lSlurkrluithr, _ _ . b------fur._-_hourrhift. <br />__-_-Dtiuerr, - - - - -- for_-_-liourrllift. <br />b.-----.fur----hourrhift. •I'anrnrt~w, - - - b""^'- <br />~----Tiurhrrureu, - - - ,.I forSl---hourrhift. -^" !or-.__hourrhift. <br />-_--:1'rammerr, - - - fur----hourrhift. ----- fur--__hourrhift. <br />b---"- -gupuriuWUdenh - b------ <br />----_Ore Surterr, - - - fur_-.-huurrluft. ---- for.---hourrhift. <br />- b•---.• 0111cu help, - - - b----.- <br />-_-.Il'uPtueu, - - ' _.._ for--__hourrhift. <br />- b,.--.-fur-..-Iwurr)iift. ---Dliliuu~u, . - - - - b"--_.. <br />----L¢hurerr, - - - -- for-...ilourellilt. <br />- b°--._fur--._hourrhift. -------'--- b°---' <br />- -.._ b---•--fur----llourrllitt. _---_.- <br />.._...-... ed furthn ynur 14fP.-.,IL------°-'----~-~) .- _.. -- --•---._... <br />Avnragn nmubnr of taeu nwp oY,o)d,~~r"-.Y•~-or,_x. ..°--'--....... <br />Chrrantnr and value of orn...-... "------ ------ -- -- -----~ - ...... .••'-.-..,........ <br />........................ .... .........'-"-(Over.) <br />_. <br />i <br /> <br />
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